Teaching Package for ICU Technique 2023-2024 PDF

Ministry of Higher Education and Scientific Research Middle Technical University, College of Health and Medical Technique, Anaesthesia Technique Department, 4th stage. Teaching package for ICU technique By Dr. Hussam Kareem...

Ministry of Higher Education and Scientific Research Middle Technical University, College of Health and Medical Technique, Anaesthesia Technique Department, 4th stage. Teaching package for ICU technique By Dr. Hussam Kareem 2023-2024  Recognition and management of the seriously ill patient The aim of assessment of seriously ill patient 1) Identify the physiological abnormalities. 2) Identify the most appropriate way to correct those abnormalities. 3) Diagnose the underlying problem. The process involves taking a full history and thoroughly examining and investigating the patient occurs is different manner in the seriously ill patient. The difference is due to the urgency with which treatment needs to be started. There is rarely time to take a full history or carry out a very detailed examination before initiating treatment. Tasks that are typically carried out sequentially often have to be carried out in parallel with history taking, examination and initial resuscitation often occurring simultaneously. Often it is necessary to restrict oneself to only the information required to guide the next treatment decision and to fill in missing components of history, examination and investigation after treatment has been Initiated on a "best guess" basis. The working diagnosis needs to be repeatedly reassessed as more information becomes available and on the basis of response to treatment. 1 1) Initial assessment The first step in assessing a seriously ill patient is to estimate how ill the patient is and how much time is available for assessment and investigation before initiating treatment. Warning signs of a severely ill patient Parameter Values Blood pressure Systolic